| NPI | 1306473343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 326747) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A178648) |
| 207P00000X Emergency Medicine (Licence: IA MD-52023) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2023-11-20 |